| NPI | 1285173120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: MA 13714) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: SC 10105) |
| 225700000X Massage Therapist (Licence: HI 14375) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2019-07-13 |